Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,438.11 / $8,229.00	Facility		$896.00	$1,438.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.96 / $1,424.75 / $1,819.74	Professional		$1,125.96	$1,424.75	$1,819.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.11 / $1,128.36 / $1,781.47	Professional		$957.11	$1,128.36	$1,781.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,113.99 / $1,518.41 / $1,751.59	Facility		$1,113.99	$1,518.41	$1,751.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,193.04 / $1,559.54 / $2,440.31	Professional		$1,193.04	$1,559.54	$2,440.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,177.02 / $1,995.63 / $1,995.63	Facility		$1,177.02	$1,995.63	$1,995.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.46 / $1,580.77 / $2,542.98	Professional		$1,194.46	$1,580.77	$2,542.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.14 / $1,678.58 / $2,806.55	Professional		$1,288.14	$1,678.58	$2,806.55